A woman who has been abused for a number of years asks the nurse for assistance in leaving the relationship. What response by the nurse is most appropriate?
1. Comment that she should have left long ago.
2. Remind the patient that that fault was not likely all attributable to her abuser.
3. Encourage her to be sure with her decision, as her abuser will be difficult to deal with.
4. Assist the patient to develop a safety plan.
4
Rationale 1: This is an inappropriate comment.
Rationale 2: This is an inappropriate comment. Nursing needs to assure the patient that it is not her fault.
Rationale 3: This might be true, but is an inappropriate comment.
Rationale 4: The nurse should help the patient develop a plan for safely exiting the situation.
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